DISCHARGE SUMMARY 1Patient Name: Louis TatePatient ID:16-3978 DOB:07/05/---- Age:40 Sex:MaleDate of Admission: 12/15 /----Days of Discharge: 12/18/----Chief Complain: “the alcohol brought me here.”IDENTIFYING INFORMATION: Patient is a 40-year-old white married male who has two children from a previous marriage. HISTORY OF PRESENT ILLNESS: According to Information obtained from the chart review, the patient was brought in with an affidavit stating he has a drinking problem. “ It would be better off for everyone if I wasn't here.” Patient states he was thinking about “down in my whole bottle of Xanax.” The patient reported that he has a long-standing history of drinking and had treatments in the past, but the longest variety he had was a year ago. He reported he has been drinking almost two pints of whiskey per day lately. The patient reported he has a history of delirium tremens but denies any history of withdrawals or seizures. He has tried to cut down but has been
You've reached the end of your free preview.
Want to read both pages?
- Fall '17
- Schizophrenia, Benzodiazepine